Legal First & Last Name*

For what vehicle (Year, Make, model) or plate number?

Are you the Registered Owner?

When is a good time to Call You?

Please state what you wish to do today

Your privacy is very important to us. Peter Pook Insurance Brokers Ltd. wants to make sure your personal information remains safe and protected.

This is a consent for communicating by email and sending/receiving your personal information, insurance forms, and if applicable banking information by email. It is important that you understand the following conditions:

1. Getting your information by email message may not always be secure. Your email could be broken into and your information could be seen, shared with others, or changed without your permission. We recommend deleting information from your email to reduce the risk to you.

2. Depending on your email provider, information we send to you may be stored outside of Canada.

3. If you delete email messages from PETER POOK InsurancE Brokers Ltd. backup copies could still be on your computer or in cyberspace.

4. After your transaction is processed, you will be sent an email with your policy documents. ICBC requires you to respond to that email and tell us if you have accepted your policy terms. You’ll be given options to confirm your acceptance.